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目的:探讨完全中隔子宫合并阴道完全纵隔的临床诊治方法。方法:对诊治的3例完全中隔子宫合并阴道完全纵隔畸形患者进行回顾性调查分析。结果:2例能正常受孕,因妊娠期间发现,未行任何治疗。1例行阴道纵隔切除术尝试自然受孕,随访3个月,尚未妊娠(男方弱精症)。结论:完全中隔子宫常伴有阴道纵隔同时存在,是否需要手术以及手术方式主要取决于患者的临床表现。为增加受孕机会,可行阴道纵隔切除术,如不孕或反复流产可再行宫腔镜切除子宫中隔。
Objective: To investigate the method of clinical diagnosis and treatment of complete septal uterus combined with complete vaginal mediastinum. Methods: The diagnosis and treatment of 3 cases of complete separation of the uterus with vaginal complete mediastinal malformation patients were retrospectively analyzed. Results: 2 cases of normal pregnancy, found during pregnancy, without any treatment. A routine vaginal mediastinal resection try natural conception, followed up for 3 months, not yet pregnant (male weakness). Conclusion: Completely separated uterus often accompanied by vaginal mediastinal at the same time, whether the need for surgery and surgical approach depends mainly on the clinical manifestations of patients. To increase the chance of conception, viable vaginal mediastinal resection, such as infertility or recurrent miscarriage can hysteroscopic uterine resection.